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Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform
Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform
AIspire360 Inc's logo

Senior Voice AI Engineer — HIPAA-Compliant AI Receptionist Platform

Amit Mohan's profile picture
Posted by Amit Mohan
3 - 10 yrs
₹10L - ₹30L / yr
Remote only
Skills
Artificial Intelligence (AI)
HIPAA
Backend testing
API management

Company: AISpire360 Role: Senior Voice AI Engineer (Independent Contractor, Full-Time Engagement) Location: Remote (India-based preferred; must overlap 4–6 hours daily with London + US Eastern) Engagement: Full-time independent contractor — long-term Compensation: Competitive, paid in USD, monthly. Senior staff-level rates.

About AISpire360

We are building the operating system for medical practices in the US. Our flagship product is ARIA, an AI receptionist that handles inbound and outbound calls, intake, scheduling, eligibility, prior authorization workflows, and after-hours coverage for medical practices. We are in active production deployment with our first practice — a spine surgery practice at the Hospital for Special Surgery in New York. Multiple specialty practices are in our deployment pipeline.

The platform is built to be specialty-agnostic. The voice agent stack is the universal foundation. Knowledge layers (spine surgery, primary care, behavioral health, dermatology, cardiology, pediatrics, etc.) plug in as configuration. One platform, many specialties.

We are venture-backed, founder-led, and shipping. The technical decisions you make here will be in production within weeks.

What You'll Own

You are the technical anchor for the voice agent. You will be responsible for:

Real-time voice system

  • Voice agent stack on ElevenLabs Conversational AI (and evaluation of Retell, Vapi, LiveKit alternatives as we scale)
  • STT and TTS configuration, voice tuning, language and accent handling
  • Turn-taking, barge-in, end-of-speech detection, latency budgets
  • Driving end-to-end voice latency below 700ms (we currently target 600ms)
  • Quality vs. cost tradeoffs across voice tier selection (Premium / Turbo / Standard)
  • Silence-detection optimization for outbound calls (95% silence-discount realization)

HIPAA + PHI infrastructure

  • BAA-compliant hosting architecture (AWS-based, BAA in place)
  • PHI detection and redaction pipeline (AWS Comprehend Medical + custom pre-filters)
  • Encryption in transit and at rest, audit logging, 7-year retention compliance
  • Access controls, RBAC, kill-switch infrastructure
  • HIPAA Security Rule compliance for technical safeguards

Agent orchestration and tools

  • LLM integration (GPT-4o, Claude Sonnet, with model routing for cost optimization)
  • Tool calling for scheduling, eligibility checks, prior auth lookups, calendar booking, task creation
  • Multi-turn conversation state management
  • Multi-topic call handling and structured task generation
  • Safety-critical keyword detection and escalation routing

Integrations

  • EHR integration (Epic, Athena, eClinicalWorks — at least one in V1)
  • Insurance eligibility APIs (Availity, Change Healthcare, payer-specific)
  • Calendar integration (Google Calendar, Microsoft 365, Cal.com)
  • SMS and email gateways (Twilio, SendGrid)
  • Practice-specific webhooks for task manager surfacing

Multi-tenant platform foundations

  • Per-practice configuration loading (specialty profile + practice profile)
  • Per-tenant isolation, data segregation
  • Specialty-specific intake schemas, triage rules, safety keywords
  • Production observability (tracing, metrics, latency monitoring per practice)

Required Experience

You should be able to demonstrate, in a live walkthrough with code in hand, that you have shipped production voice AI systems. Specifically:

  • 3+ years of production voice/conversational AI experience. Not chatbots — actual real-time voice agents handling live phone calls. ElevenLabs, Retell, Vapi, LiveKit, OpenAI Realtime, Deepgram, or equivalent.
  • Deep familiarity with at least 2 of: ElevenLabs Conversational AI, Retell AI, Vapi, LiveKit Agents, OpenAI Realtime API. Production deployment experience required, not demo experience.
  • HIPAA and PHI handling experience in production. Not theoretical. You have signed BAAs, deployed in HIPAA-compliant environments, and built PHI redaction pipelines.
  • AWS infrastructure expertise. Specifically: ECS or Fargate, Lambda, S3 with encryption, KMS, CloudWatch, IAM, VPC, BAA-eligible service selection.
  • AWS Comprehend Medical or equivalent PHI detection experience.
  • Twilio or equivalent telephony provider experience. SIP trunking, inbound/outbound call flows, recording and transcription pipelines.
  • Latency optimization in real-time systems. You have hit sub-700ms voice latency in production and can explain the trade-offs you made.
  • LLM production experience. GPT-4o, Claude, or equivalent. Prompt engineering, tool calling, structured outputs, model routing for cost.
  • Python or TypeScript fluency. Production code, not scripts.
  • API integration experience. REST, webhooks, OAuth, async patterns. Bonus if you've integrated with EHRs (Epic FHIR, Athena, eClinicalWorks).

Nice to Have

  • Healthcare domain experience (EHRs, clinical workflows, medical terminology)
  • Prior auth or eligibility verification workflow experience
  • Multi-tenant SaaS architecture experience
  • SOC 2 audit experience
  • Experience with knowledge graphs (PostgreSQL + pgvector, Neo4j, or similar)
  • Open-source contributions to LangChain, LiveKit, Pipecat, or similar voice/agent frameworks
  • Demonstrated ability to ship to production fast (not perfectionism — pragmatic engineering)

What This Engagement Looks Like

  • Independent contractor. You invoice us monthly. We pay in USD via wire transfer or Wise.
  • Full-time engagement. This is your primary work. We expect ~40 hours/week of focused output.
  • Long-term. We are not looking for a 3-month engagement. Expect this to run 12+ months.
  • You sign a BAA with us. This is non-negotiable due to the nature of the work.
  • You are eligible for future equity grants as we formalize the team structure.
  • Direct working relationship with our CTO (London-based) and founders (NYC and India).
  • Time-zone overlap required: at least 4–6 hours of daily overlap with both London and US Eastern. Indian Standard Time evenings (6 PM IST onward) work well.

How We'll Evaluate You

Our hiring process is fast and substantive. No take-homes. No multi-round bureaucracy.

  1. Initial screen (30 min): Background, what you've shipped, compensation expectations, BAA-readiness.
  2. Technical deep-dive (90 min): Walk us through a production voice AI system you've shipped. Code in hand. Architecture diagrams. Real production numbers — latency, cost per call, scale. We will ask follow-up questions about specific decisions you made.
  3. System design (90 min, live): We give you a design problem — a HIPAA-compliant voice agent for a medical specialty we don't yet support. You design end-to-end on a whiteboard / Excalidraw. We probe trade-offs.
  4. Founders + CTO conversation (60 min): Mutual fit. You ask us hard questions. We answer honestly.

Total: 4–5 hours of your time. We'll move from first conversation to offer in 7–10 days for the right candidate.

What We Will NOT Accept

  • Take-home assignments produced by other AI tools. We will ask you to walk through code live; if you can't explain decisions you didn't make, the interview ends.
  • Resume claims you can't substantiate. We verify employment via EPFO/UAN where applicable.
  • "I've done LLM chatbots" experience without production voice agent experience. They are not the same skill.
  • Engagement structures that conflict with this being your primary work.

How to Apply

Send a brief message with:

  1. A link to a production voice AI system you've shipped (or, if NDA'd, a description of the architecture and your specific contribution).
  2. Two or three sentences on why this role fits you specifically — not a generic cover letter.
  3. Your current compensation expectation in USD per month.
  4. Your earliest start date and current time-zone availability.

We read every message. We respond within 5 business days, including with "no" answers. We don't ghost.


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About AIspire360 Inc

Founded :
2025
Type :
Products & Services
Size :
0-20
Stage :
Bootstrapped

About

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Company social profiles

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  • Built apps using React Native
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  • Contributed to open-source projects


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About engineering at WorkHero

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  • Continuous improvement, both technically and interpersonal


Our technology stack:

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Our team

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  • The team consists of founding members from Harvard Business School and the Workshop Ventures team — Kyler, Furman, Chad, Jason, and Ulhas


Interview Process:

  • Screening: Review of your open source contributions and past projects.
  • First Round of Technical Evaluation: Assessing your problem-solving and AI integration skills.
  • Technical Evaluation + Cultural Fit: Understanding your alignment with our team.
Read more
Growloc Private Limited
Remote only
2 - 5 yrs
₹6L - ₹15L / yr
Internet of Things (IOT)
automated testing framework
CI/CD
skill iconMongoDB
Artificial Intelligence (AI)
+6 more

                                  Job Description

 

Profile Title: Software Development Engineer

Location: Pune Remote

 

Company Profile:

Growloc Private Limited is a leading Agri-tech company in India specializing in IoT solutions for farm management. We empower farmers with innovative technology to optimize resource usage, improve yields, and ensure consistent quality produce. Backed by a team of passionate individuals, Growloc Private Limited is committed to creating a more sustainable and productive future for Indian agriculture.


Role Overview:

 We’re looking for a MERN Stack Engineer (SDE-2) who’s passionate about building impactful products and believes in working smarter—with AI copilots, automation, and lean dev cycles. You’ll be part of a high-ownership team responsible for delivering full-stack features, writing testable code, and deploying to production with CI/CD.

 

Key Responsibilities:

• Build and maintain robust full-stack applications using MongoDB, Nest.js, React.js, and Node.js.

• Actively leverage AI tools (Copilot, ChatGPT, etc.) for faster development, documentation, and writing test cases.

• Write and maintain unit, integration, and end-to-end tests to ensure code quality.

• Own features end-to-end—from design to deployment using modern CI/CD workflows (GitHub Actions, Vercel, AWS).

• Collaborate with product, data, and hardware teams in a lean setup to ship fast and iterate often.

• Ensure performance, responsiveness, and scalability of front-end and backend systems.

 

 

 

Required Skills:

• 2–5 years of professional experience building products using the MERN stack.

• Strong understanding of frontend architecture (React Hooks, Context API/Redux).

• Proficiency in Node.js, Express, and MongoDB schema design.

• Familiarity with CI/CD tools, Git workflows, and cloud deployments.

• Experience with automated testing frameworks (Jest, Mocha, Cypress, etc.).

• Demonstrated use of AI-based coding assistants in real-world development workflows.

  

Good to Have:

• Exposure to IoT systems or integration with hardware devices.

• Experience working with LoRaWAN protocols and sensor data ingestion.

• Familiarity with WebSockets, MQTT, or real-time data processing.

• Background in agriculture, climate-tech, or rural tech products.

• Knowledge of TypeScript or serverless architectures.


Compensation: Best as per the market standards


At Growloc, we believe in purpose-driven technology. You’ll be part of a collaborative team working at the intersection of agriculture and innovation. If you're excited about building products that matter—and making a real-world impact—this is the place for you.


 

Read more
RevClerx
at RevClerx
1 recruiter
Heena Verma
Posted by Heena Verma
Mohali, Chandigarh
4 - 8 yrs
₹5L - ₹12L / yr
skill icon.NET
DOT
skill iconMachine Learning (ML)
Artificial Intelligence (AI)
ASP.NET
+2 more
      The Application Developer will be responsible for developing custom solutions specializing in C# and NET technologies to support the overall enterprise application initiatives Guides team members in

      Adhere to NET framework for automation projects to ensure manageability and maintainability of ode base

      7+ years of work experience in developing Business IT Applications, Digital technologies, and Platform implementation

      Practical experience of developing machine learning systems

      Strong software skills in Python/R/C#

      Experience in using machine learning frameworks and libraries such as TensorFlow a plus

      Lead and work with ML engineers and data scientists to build smart automation & ML applications

      Strong software troubleshooting skills, and an understanding of programming constructs in C# NET, in a MS Windows based enterprise software environment

      Lead and work with ML engineers and data scientists to build smart commerce services & ML applications

      Identify what kind of data in which format should be collected in order to solve the problem

      Strong understanding of programming concepts and a programming background with C# NET

      Strong understanding of Process Design documents, Technical Design documents and BPMN 20 standards

      Strong understanding of web technologies, HTML, CSS, JavaScript, xml, xaml

      Strong understanding of relational database design, writing queries and stored procedures with MySQL or Microsoft SQL

    Strong understanding of Object Oriented Analysis and Development within large enterprise level applications
Read more
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